Infant heart failure vs bronchiolitis
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Teaching point — how the wording changes the answer
Hepatomegaly + raised JVP + murmur + poor feeding + crackles in an infant = CONGESTIVE HEART FAILURE (e.g. large L-to-R shunt / VSD), not primary lung disease. Bronchiolitis = viral prodrome, wheeze/crackles, NO murmur, NO hepatomegaly.
Q138
10-month cough/SOB, b/l wheeze + crackles, murmur 2/6 (bronchiolitis / lobar emphysema / CCF)
Key clue
Murmur present
Show answer
CCF (murmur points away from pure bronchiolitis)
Q211
Baby, raised JVP, hepatomegaly, bilateral basal crepitations. Cause?
Key clue
Raised JVP + hepatomegaly
Show answer
Heart failure
Q427
Baby, poor feeding, wheeze + crackles, systolic murmur, hepatomegaly, NO cyanosis
Key clue
Murmur + hepatomegaly, acyanotic
Show answer
Congestive heart failure